Individual provider · Type 1 NPI

Jennifer A. Greseth, PA-C

Surgical Physician Assistant · Robbinsdale, MN

NPI number 1982796199 Active

Practice location

3366 Oakdale Ave N, Suite 103
Robbinsdale, MN 55422-2948

Fax (763) 520-7889

Mailing address

4200 Dahlberg Dr, Suite 300
Golden Valley, MN 55422

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X10579 (MN)

Surgical Physician Assistant: Definition to come...

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About NPI 1982796199

Jennifer A. Greseth, PA-C's National Provider Identifier is 1982796199, issued on Sep 28, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Robbinsdale, MN. The record was last updated on Sep 7, 2012.